An 82-year-old woman with a medical history of diabetes mellitus type 2 (most recent hemoglobin A1c of 10.3%), atrial fibrillation (on apixaban) and hypothyroidism presented to our ED with left ...

On examination, the knee was significantly swollen and deformed, and the injury was closed. Radiographs and CT scan (Figure 1) demonstrated a complete intra-articular distal femur fracture.

Femoral shaft fractures are associated with injuries to the ipsilateral knee in 15% to 55% of cases, leaving a high index of suspicion necessary to identify these lesions.

Neonatal physeal fracture of the distal femur is often difficult to diagnose. Timely and accurate diagnosis and appropriate therapy are critical in order to avoid permanent morbidity and ...